Approach to Evaluating the Multimorbid Patient with Cardiovascular Disease Undergoing Noncardiac Surgery

Research output: Contribution to journalArticle

Abstract

Older patients undergo more inpatient and outpatient procedures than do younger individuals, and their risk of suffering undesired outcomes is greater. The performance of a productive preoperative assessment entails more than the application of the sundry clinical practice guidelines relating to a patient's various medical diagnoses. A better approach involves adoption of a physiologically integrated, whole-person assessment that takes into account the patient's cognitive function, mood, physical function and mobility (including the possibility of frailty), social support, nutritional status, and medication use. This article outlines such an approach and highlights the many gaps in the current evidence base.

Original languageEnglish (US)
JournalClinics in Geriatric Medicine
DOIs
StateAccepted/In press - 2016

Fingerprint

Cardiovascular Diseases
Nutritional Status
Practice Guidelines
Social Support
Cognition
Inpatients
Outpatients

Keywords

  • Frailty
  • Geriatric assessment
  • Multimorbidity
  • Preoperative assessment

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

@article{621819b1fdd94e4c9a7231bb481c38ee,
title = "Approach to Evaluating the Multimorbid Patient with Cardiovascular Disease Undergoing Noncardiac Surgery",
abstract = "Older patients undergo more inpatient and outpatient procedures than do younger individuals, and their risk of suffering undesired outcomes is greater. The performance of a productive preoperative assessment entails more than the application of the sundry clinical practice guidelines relating to a patient's various medical diagnoses. A better approach involves adoption of a physiologically integrated, whole-person assessment that takes into account the patient's cognitive function, mood, physical function and mobility (including the possibility of frailty), social support, nutritional status, and medication use. This article outlines such an approach and highlights the many gaps in the current evidence base.",
keywords = "Frailty, Geriatric assessment, Multimorbidity, Preoperative assessment",
author = "Lyons, {William L}",
year = "2016",
doi = "10.1016/j.cger.2016.01.007",
language = "English (US)",
journal = "Clinics in Geriatric Medicine",
issn = "0749-0690",
publisher = "W.B. Saunders Ltd",

}

TY - JOUR

T1 - Approach to Evaluating the Multimorbid Patient with Cardiovascular Disease Undergoing Noncardiac Surgery

AU - Lyons, William L

PY - 2016

Y1 - 2016

N2 - Older patients undergo more inpatient and outpatient procedures than do younger individuals, and their risk of suffering undesired outcomes is greater. The performance of a productive preoperative assessment entails more than the application of the sundry clinical practice guidelines relating to a patient's various medical diagnoses. A better approach involves adoption of a physiologically integrated, whole-person assessment that takes into account the patient's cognitive function, mood, physical function and mobility (including the possibility of frailty), social support, nutritional status, and medication use. This article outlines such an approach and highlights the many gaps in the current evidence base.

AB - Older patients undergo more inpatient and outpatient procedures than do younger individuals, and their risk of suffering undesired outcomes is greater. The performance of a productive preoperative assessment entails more than the application of the sundry clinical practice guidelines relating to a patient's various medical diagnoses. A better approach involves adoption of a physiologically integrated, whole-person assessment that takes into account the patient's cognitive function, mood, physical function and mobility (including the possibility of frailty), social support, nutritional status, and medication use. This article outlines such an approach and highlights the many gaps in the current evidence base.

KW - Frailty

KW - Geriatric assessment

KW - Multimorbidity

KW - Preoperative assessment

UR - http://www.scopus.com/inward/record.url?scp=84958568308&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84958568308&partnerID=8YFLogxK

U2 - 10.1016/j.cger.2016.01.007

DO - 10.1016/j.cger.2016.01.007

M3 - Article

JO - Clinics in Geriatric Medicine

JF - Clinics in Geriatric Medicine

SN - 0749-0690

ER -